Mercer County Community College Summer Sports Camps
Before-Care / After-Care Registration Form 2016

Print this form.  Mail the signed, completed form with full payment to:

Athletics Department
Mercer County Community College
P.O. Box 17202
Trenton, NJ 08690

Full payment must accompany registration.

Camper's
Last Name
First Name
Camper's S.S. # Home Phone
Street Business Phone
City Male or Female?
State & Zip
In the SELECT columns, mark the section(s) you wish to register the camper for:
BEFORE-CARE
7:30 to 9 a.m.
Section SELECT Days Cost
  June 20-24 $50
  June 27 - July 1 $50
  July 5-8 $50
  July 11-15 $50
  July 18-22 $50
  July 25-29 $50
  August 1-5 $50
  August 8-12 $50
Before-Care Total $
  AFTER-CARE
4 to 6 p.m.
Section SELECT Days Cost
  June 20-24 $75
  June 27 - July 1 $75
  July 5-8 $75
  July 11-15 $75
  July 18-22 $75
  July 25-29 $75
  August 1-5 $75
  August 8-12 $75
After-Care Total $

Method of Payment
$__________ Check or Money Order (combined total for before-care and after-care) payable to MCCC Althetic Foundation  Write camper's name and Social Security number on check. DO NOT SEND CASH.
Charge to: ____ Visa
____ Mastercard
____ American Express
____ Discover
Card Number
Expiration Date
Cardholder's Name
Cardholder's Signature
Charge Amount
$________________

Questions? E-mail athlete@mccc.edu or call (609) 570-3779.